Update your Information

This will guide you on the process of updating your information with Maxicare. Read the instructions carefully and proceed to fill up the form found on the link on Step 3 below.

Step 1: Make a copy and download the following documents required for the updating.  If updating multiple schedules for different clinics/hospitals, you may download the Clinic Schedule Template below. (For Anesthesiologist and Visiting Doctors, please put Not Applicable on the Clinic Schedule Template if not applicable)

1. Physician Affiliation Agreement  (Click Here)

2. Clinic Schedule Template (Click Here)

Step 2: Prepare the following documents required for applying a new affiliation. Soft copies may be required to be attached in the form.

1. Copy of Fellow or Diplomate Certificate

2. Copy of Fellow or Diplomate Certificate for Sub-specialization

3. Copy of PRC License

4. Copy of PHIC License

5. BIR Certificate of Registration (Form 2303)

6. Copy of Bank Statement

7. Curriculum Vitae or Resume

8. Duly Signed Physician Affiliation Agreement

Step 3: Click here to register

Step 4: Wait for the confirmation coming from our Maxicare Provider Relations Officer.

Need assistance? For inquiries, you may email us at provider.medical@maxicare.com.ph